CPT 90791 (Psychiatric diagnostic evaluation) versus CPT 90837 (Psychotherapy, 60 minutes with patient). Medicare national non-facility: $173.35 vs $167.00 (CMS RVU26D, October 2026 release, GPCI 1.0). Official Medicaid FFS is shown for Alaska, Arizona, California, District of Columbia, Florida, Illinois, Indiana, Kentucky, Louisiana, Michigan, Missouri, Mississippi, Montana, North Dakota, Nebraska, Nevada, New York, Ohio, Oklahoma, South Carolina, Texas, Virginia, Washington, West Virginia, the states that publish both codes.
Ohio UnitedHealthcare professional medians (source file dated 2026-09-01): CPT 90791 $153.08 (10th percentile $112.56, 90th percentile $296.21) vs CPT 90837 $139.72 (10th percentile $104.59, 90th percentile $250.67) on /payers/uhc/ohio. Aetna and Anthem stay Coming soon.
Same UHC file, other states: Alaska 90791 $173.33 / 90837 $146.12 · Nebraska 90791 $167.43 / 90837 $147.07 · Indiana 90791 $150.08 / 90837 $139.72 · South Carolina 90791 $153.69 / 90837 $135.85 · Arizona 90791 $149.12 / 90837 $130.42 · Massachusetts 90791 $164.70 / 90837 $147.07 · Pennsylvania 90791 $156.06 / 90837 $137.51 · Illinois 90791 $153.24 / 90837 $137.78. Compare a pasted offer on Contract Checker v1.3.
Last verified 2026-09-10. Medicare effective 2026-10-01.
| State | 90791 Medicare NF | 90791 Medicaid FFS | 90837 Medicare NF | 90837 Medicaid FFS | Commercial |
|---|---|---|---|---|---|
| Alaska | $240.07 | $334.31 | $232.44 | $323.68 | $173.33 $146.12 |
| Arizona | $171.88 | $181.41 | $165.67 | $167.92 | $149.12 $130.42 |
| California | $179.49 to $206.78 | $128.08 | $172.69 to $198.30 | $98.02 | $167.62 $146.25 |
| District of Columbia | $188.26 | $150.61 | $181.03 | $144.82 | $163.38 $138.13 |
| Florida | $171.73 to $176.19 | $134.82 | $165.58 to $169.67 | $129.89 | $148.63 $126.17 |
| Illinois | $169.86 to $175.96 | $122.11 | $163.89 to $169.49 | $183.16 | $153.24 $137.78 |
| Indiana | $169.76 | $162.16 | $163.74 | $150.29 | $150.08 $139.72 |
| Kentucky | $168.36 | $97.80 | $162.50 | $94.13 | $144.26 $125.80 |
| Louisiana | $168.21 to $170.82 | $142.09 | $162.37 to $164.73 | $125.86 | $149.36 $125.93 |
| Michigan | $169.57 to $172.25 | $110.55 | $163.60 to $166.06 | $106.50 | $150.08 $131.26 |
| Missouri | $167.20 to $171.22 | $177.45 | $161.46 to $165.08 | $149.68 | $148.88 $130.24 |
| Mississippi | $167.00 | $150.30 | $161.26 | $145.13 | $150.08 $127.82 |
| Montana | $173.35 | $243.67 | $167.00 | $234.75 | $159.46 $142.20 |
| North Dakota | $172.95 | $194.50 | $166.61 | $187.37 | $174.86 $145.70 |
| Nebraska | $169.51 | $238.40 | $163.50 | $258.13 | $167.43 $147.07 |
| Nevada | $173.28 | $121.15 | $166.93 | $116.09 | $151.69 $139.27 |
| New York | $170.93 to $190.53 | $177.67 | $164.80 to $183.23 | $161.13 | $150.00 $131.26 |
| Ohio | $169.49 | $117.91 | $163.52 | $108.57 | $153.08 $139.72 |
| Oklahoma | $168.45 | $152.97 | $162.57 | $147.93 | $150.08 $127.32 |
| South Carolina | $169.87 | $117.29 | $163.86 | $103.83 | $153.69 $135.85 |
| Texas | $169.31 to $176.11 | $137.93 | $163.35 to $169.51 | $127.50 | $150.04 $127.94 |
| Virginia | $172.40 | $177.22 | $166.13 | $170.73 | $150.74 $132.95 |
| Washington | $177.21 to $189.73 | $127.46 | $170.61 to $182.29 | $122.51 | $156.06 $146.12 |
| West Virginia | $167.82 | $120.78 | $162.04 | $116.39 | $156.57 $137.78 |
Related official rates
- CPT 90791 Medicare and Medicaid FFS
- CPT 90837 Medicare and Medicaid FFS
- CPT 90834 vs 90837
- Compare an offered rate
- Medicaid FFS state hubs
Questions
How do CPT 90791 and 90837 Medicare rates compare in 2026?
National non-facility Medicare (GPCI 1.0) is $173.35 for CPT 90791 (Psychiatric diagnostic evaluation) and $167.00 for CPT 90837 (Psychotherapy, 60 minutes with patient). Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
Which states have official Medicaid FFS for both CPT 90791 and 90837?
Both codes have parsed Medicaid FFS cells in Alaska (90791 $334.31, 90837 $323.68); Arizona (90791 $181.41, 90837 $167.92); California (90791 $128.08, 90837 $98.02); District of Columbia (90791 $150.61, 90837 $144.82); Florida (90791 $134.82, 90837 $129.89); Illinois (90791 $122.11, 90837 $183.16); Indiana (90791 $162.16, 90837 $150.29); Kentucky (90791 $97.80, 90837 $94.13); Louisiana (90791 $142.09, 90837 $125.86); Michigan (90791 $110.55, 90837 $106.50); Missouri (90791 $177.45, 90837 $149.68); Mississippi (90791 $150.30, 90837 $145.13); Montana (90791 $243.67, 90837 $234.75); North Dakota (90791 $194.50, 90837 $187.37); Nebraska (90791 $238.40, 90837 $258.13); Nevada (90791 $121.15, 90837 $116.09); New York (90791 $177.67, 90837 $161.13); Ohio (90791 $117.91, 90837 $108.57); Oklahoma (90791 $152.97, 90837 $147.93); South Carolina (90791 $117.29, 90837 $103.83); Texas (90791 $137.93, 90837 $127.50); Virginia (90791 $177.22, 90837 $170.73); Washington (90791 $127.46, 90837 $122.51); West Virginia (90791 $120.78, 90837 $116.39). Other states stay Coming soon until that state's published file is parsed for both codes.
What is the Alaska Medicaid FFS comparison for CPT 90791 vs 90837?
Alaska Medicaid FFS is $334.31 for CPT 90791 and $323.68 for CPT 90837. Amounts are official FFS cells, not MCO or commercial rates.
Does Parite list Medicaid MCO or commercial rates for CPT 90791 vs 90837?
Medicaid MCO is not shown. UnitedHealthcare percentiles appear in the commercial column when a fetched cell exists for that code×state (90837/90834/90832/90791, 51 jurisdictions). Aetna and Anthem stay Coming soon.
What are the Ohio UnitedHealthcare medians for CPT 90791 vs 90837?
Ohio UHC professional median is $153.08 for CPT 90791 (10th percentile $112.56, 90th percentile $296.21) and $139.72 for CPT 90837 (10th percentile $104.59, 90th percentile $250.67). Source file dated 2026-09-01. Counted by provider practice state. Aetna and Anthem stay Coming soon.
What are the Pennsylvania UnitedHealthcare medians for CPT 90791 vs 90837?
Pennsylvania UHC professional median is $156.06 for CPT 90791 and $137.51 for CPT 90837. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Arizona and Massachusetts UnitedHealthcare medians for CPT 90791 vs 90837?
Arizona UHC professional median is $149.12 for CPT 90791 and $130.42 for CPT 90837. Massachusetts is $164.70 and $147.07. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Indiana and South Carolina UnitedHealthcare medians for CPT 90791 vs 90837?
Indiana UHC professional median is $150.08 for CPT 90791 and $139.72 for CPT 90837. South Carolina is $153.69 and $135.85. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.
What are the Nebraska and Alaska UnitedHealthcare medians for CPT 90791 vs 90837?
Nebraska UHC professional median is $167.43 for CPT 90791 and $147.07 for CPT 90837. Alaska is $173.33 and $146.12. Same 2026-09-01 UHC source file as Ohio. Aetna and Anthem stay Coming soon.